Introduction: Because of the nature of their profession, nurses experience high levels of stress, and neglect of understanding and coping with this stress will cause irreparable effects. Accordingly, the present study was performed to investigate the relationship between Job stress and coping strategies among intensive ward nurses in Gorgan. Methods: This was a correlational descriptive study done during year 2014. The instruments used in this study included a demographic questionnaire, Expanded Nursing Stress Scale (ENSS) and the Folkman and Lazarus Coping Style Questionnaire. The research environment included critical care unites of Gorgan university hospitals. Sampling was carried out by the census sampling method. Overall, 74 nurses participated in the study. After data collection, analysis was performed with the SPSS software (version 16). For the analysis of data in terms of variables, descriptive statistic and deductive statistic (Pearson correlation, stepwise regression) were used. Results: The mean age of the participants was 33.39 ± 6.33 years. The most stressful condition was conflict with the supervisor (2.65 ± 0.59). The most commonly used strategies were selfcontrol (5 ± 14.18). The results of multiple regression analysis showed that the variables gender (21.57 = β, and P = 0.014) and working at the dialysis unit (27.08 = β and P < 0.001) were good predictors for occupational stress. Other variables such as coping strategies, age, education and marital status were not significantly related to job stress. Conclusions: According to the high level of some stress dimensions such as conflict with supervisor among nurses, and also the relationship between job stress and factors such as working at the dialysis ward and gender, it is necessary for nurse managers to apply some measures to prevent and reduce stress; these measures could include improving the work environment, education on coping methods, training and sufficient support of personnel.
BACKGROUND: Substance dependence is one of the most important social issues in the world today, which affects not only the life of an addicted individual, but also the relatives of the substance abuser individual, and in particular their spouses and children are also exposed to multiple injuries.
AIM: This study aimed to investigate the experiences of the women with the substance abuser spouse.
MATERIAL AND METHODS: This study is a qualitative study. Sampling was done purposefully. The data were subjected to 25 participants with in-depth and semi-structured interviews (15 wives and 7 therapists and 3 officials dealing with family members of the substance abuser) and analysed using the qualitative approach of the conventional content analysis (Granheim's method).
RESULTS: Out of the results of the interviews, two main categories were extracted, including A) family psychological breakdown and B) Disadvantaged social status. The main category of family psychological breakdown including 5 subcategories: Psychological disadvantages, losing borders in the family, insecure space house for the family, turbulent family and Concern on spouses leaving. Category of disadvantaged social status is also including 3 subcategories: trying to preserve the family's image, social stigma, and social isolation of the family.
CONCLUSION: The families, especially the women with the substance abuser spouse, are severely vulnerable in various psychological and social dimensions. Therefore, the attention of the health cares to these families is important.
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